Provider Demographics
NPI:1083174619
Name:J&M BEHAVIOR SERVICES INC
Entity Type:Organization
Organization Name:J&M BEHAVIOR SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:M
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RBT
Authorized Official - Phone:305-832-9828
Mailing Address - Street 1:1695 FLORIDA MANGO RD STE 8
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-8903
Mailing Address - Country:US
Mailing Address - Phone:305-832-9828
Mailing Address - Fax:
Practice Address - Street 1:1695 FLORIDA MANGO RD STE 8
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-8903
Practice Address - Country:US
Practice Address - Phone:305-832-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-20
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty